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LAUDERDALE RADIOLOGY GROUP NPI 1073605762


NPI Information

NPI: 1073605762
Provider Name: LAUDERDALE RADIOLOGY GROUP
Classification: Radiologic Technologist - 247100000X
Entity Type: Organization
Address:
1701 VETERANS DRIVE
FLORENCE, AL
ZIP 35630
Phone: (256) 768-8168
Get Directions

LAUDERDALE RADIOLOGY GROUP is a radiologic technologist in Florence, AL. The provider is an individual who is trained and qualified in the art and science of both ionizing and non-ionizing radiation for the purposes of diagnostic medical imaging, interventional procedures and therapeutic treatment. LAUDERDALE RADIOLOGY GROUP NPI is 1073605762. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

1701 VETERANS DRIVE
FLORENCE, AL
ZIP 35630
Phone: (256) 768-8168
Fax: (256) 768-8322

The provider's authorized official is Paul Vonherrmann .
The authorized official title is Radiologist and has the following contact phone number (256) 768-8168.

The enumeration date for this NPI number is 9/29/2006 and was last updated on 7/2/2019.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1247100000XRadiologic TechnologistD0137ALABAMANo
2247100000XRadiologic Technologist00023957ALABAMANo
3247100000XRadiologic Technologist00016553ALABAMANo
4247100000XRadiologic TechnologistMD.26676ALABAMANo
5247100000XRadiologic Technologist00006072ALABAMAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1009934433MEDICAIDALABAMA
2009934439MEDICAIDALABAMA
351039286OTHERALABAMABC
4009934434MEDICAIDALABAMA
5009934437MEDICAIDALABAMA
651543162OTHERALABAMABC EAST BILYEU
7528202620MEDICAIDALABAMA
851039506OTHERALABAMABC
951507878OTHERALABAMABC
1051519728OTHERALABAMABC
1151540375OTHERALABAMABC

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.